Participating Medicare Part D plans can officially begin covering weight-loss treatment in 2027. The initiative falls under CMS’ voluntary “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” — or BALANCE — model. The December news followed President Trump’s negotiations…
The Latest
More than 60 percent of U.S. adults report difficulty accessing timely primary care, driving delayed treatment, higher downstream costs and avoidable escalation. Primary care access gaps are growing, and payers are increasingly looking to AI-enabled models to close them without…
Presented by:
- Dr. Cían Hughes, Chief Scientific Officer, Counsel Health
- Dr. Rishi Khakhkhar, Chief Medical Officer, Counsel Health
- Daniel Bongiolatti, SVP of Commercial, Counsel Health
Nevada Medicaid is seeking proposals from insurers to offer a Coordination Only Dual Eligible Special Needs Plan. Proposals are due Feb. 17, with a contract expected to run from Jan. 1, 2027 through Dec. 31, 2030. The state may award…
California’s Department of Managed Health Care issued Anthem Blue Cross a $15 million fine due to “longstanding and widespread failures” with handling member complaints, according to a Jan. 30 news release from the department. The enforcement action also stipulates that…
Healthcare organizations are facing mounting workforce pressure, yet many leaders still lack confidence in their teams’ readiness. Based on insights from nurse leaders across the U.S., only 51 percent of respondents reported high confidence in their current nursing team’s competencies,…
Presented by:
Sidecar Health is bringing its fully insured health insurance product to Texas, according to a Jan. 22 news release. Sidecar said Texas is one of the largest employer markets in the U.S. According to recent survey data, about one-third of…
Learn how SuperMobile leverages next-gen network intelligence to optimize performance in real time—improving speed, efficiency, and responsiveness for enterprises. Discover the cutting-edge security architecture built into every layer of the network, designed to proactively defend against evolving threats. Plus, explore…
On Demand
Presented by:
- Joe Popp, Host, T-Mobile for Business
AI is reshaping how care is delivered, paid for and led. At Becker’s CEO + CFO Roundtable, leaders broke down what this shift means for health systems and the operational, strategic and financial decisions that matter most now. This recap…
Presented by:
Point32Health — which includes Harvard Pilgrim Health Care and Tufts Health Plan — appointed Marti Lolli as executive vice president, chief growth officer, and Jeff Weiss as executive vice president, corporate strategy and strategic partnerships. Both will report to President…
Health systems are being asked to improve outcomes, advance equity and manage costs at the same time. Yet many of the factors driving health exist outside hospital walls. When population health strategies rely solely on internal resources, gaps emerge. Social…
Presented by:
